Know If Your Child Has Antisocial Or Addictive Potential

Dr. Dhananjay GambhireMD (Psychiatry)

Signs of Antisocial or Addictive Potential

Lying Stealing Cheating Bullying Beating Putting on fire Not attending classes

Cruelty towards animals Not respecting parents Not respecting family members Early sexual activity Friendship with elder children's Alcohol or drugs misuse Family History Marital discord

Nature

Genetic make up

You Can not change

Nurture

Environmental Stimulation

Change is possible

What is the best gift a parent can give to their children

Attention deficiency hyperactivity disorder

A pattern of diminished sustained attention and higher levels of impulsivity in a child or adolescent than expected for someone of that age and developmental level.

The behaviors must appear early in life, before age 7.

The behaviors must create a real handicap in at least two areas of a person's life such as in the schoolroom, on the playground, at home, in the community, or in social settings

Incidence

3% to 7% Boys>Girls

Types

Inattentive (daydreamer)

Hyperactive/Impulsive (on the go)

Combined

Hyperactivity

Attack test rapidly but answer only few questions

Unable to wait to be called answer before turn

Cannot be put off even for minute

Hyperactivity Act impulsively

Emotional liability easily set of to tears or laughter

Irritable Explosive Action before

thought Learning

disabilities

Inattention

Short attention span Poor homework Failure to finish task,

easily confused, slow moving, and lethargic

Losing or forgetting things

Easy distractibility

Reason Genetic factors: Similar twins >Diff twins Alcohol use disorders in

parents Antisocial activity in

parents. Developmental

factors: Month of birth-September Prenatal toxin exposure Prematurity, Mechanical

injury,Food additive, Colorings, Preservatives, Sugar.

Dysfunction of Neurochemicals

Blood supply to Frontal areas of brain

Institutional children's Emotional deprivation Stressful events Family disruption Demands of society

Associated disorders Learning disability

Many children with ADHD—approximately 20 to 30 percent—also have a specific learning disability (LD).

In preschool years, these disabilities include difficulty in understanding certain sounds or words and/or difficulty in expressing oneself in words.

In school age children, reading or spelling disabilities, writing disorders, and arithmetic disorders may appear.

Anxiety & Depression

Some children with ADHD often have co-occurring anxiety or depression.

If the anxiety or depression is recognized and treated, the child will be better able to handle the problems that accompany ADHD.

Effective treatment of ADHD can have a positive impact on anxiety as the child is better able to master academic tasks

Outcome

If Not Treated

50% improve till puberty Remaining are prone to Antisocial behavior Substance use

disorder Mood disorder Learning problems Social difficulties Suicides

If Treated

95% Improve Adjust with backlog

in 6 months Lesser chances of

complications

Treatment

Medications Older: Stimulant Medication More effects more side

effects Newer: Non stimulant Medication SafeMonitoring of side effectsEvaluation of therapeutic progress

Psychosocial intervention

Training of parents. Sensory integration by OT Speech Therapy Social skills groups. Treatment of coexisting disorders. No direct improvement of learning Special attention.

Role of Teachers

Diagnosis. Look out for more features in

children's not studying properly. Special attention for children under treatment. Monitor improvements. Feedback with parents.

Take Home

Modeling is best way of teaching Best gift a parent can give is

bond between them Positive reinforcement Vs

Punishment Attention deficiency hyperactivity

disorder should be treated

Thank you